Individual provider · Type 1 NPI

Mia Kodama

Occupational Therapy Assistant · Pleasanton, CA

NPI number 1154284065 Active

Practice location

4733 Chabot Dr Ste 203
Pleasanton, CA 94588-3972

Call (408) 559-9020 Map

Mailing address

2101 Alexander Way
Pleasanton, CA 94588-8307

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA919 (CA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1154284065

Mia Kodama's National Provider Identifier is 1154284065, issued on Dec 8, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pleasanton, CA. The record was last updated on Dec 8, 2025.